go back

Missouri rates for HCPCS 40814

Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.89 / $2,945.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.62 / $345.22 / $615.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $410.35 / $650.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.74 / $470.21 / $799.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.98 / $544.86 / $4,332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.86 / $831.02 / $2,769.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.00 / $2,874.00 / $5,813.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.01 / $659.60 / $944.17